Reduced Krüppel-like factor 2 expression may aggravate the endothelial injury of diabetic nephropathy

Kidney Int. 2015 Feb;87(2):382-95. doi: 10.1038/ki.2014.286. Epub 2014 Sep 3.

Abstract

Krüppel-like factor 2 (KLF2), a shear stress-inducible transcription factor, has endoprotective effects. In streptozotocin-induced diabetic rats, we found that glomerular Klf2 expression was reduced in comparison with nondiabetic rats. However, normalization of hyperglycemia by insulin treatment increased Klf2 expression to a level higher than that of nondiabetic rats. Consistent with this, we found that Klf2 expression was suppressed by high glucose but increased by insulin in cultured endothelial cells. To determine the role of KLF2 in streptozotocin-induced diabetic nephropathy, we used endothelial cell-specific Klf2 heterozygous knockout mice and found that diabetic knockout mice developed more kidney/glomerular hypertrophy and proteinuria than diabetic wild-type mice. Glomerular expression of Vegfa, Flk1, and angiopoietin 2 increased, but expression of Flt1, Tie2, and angiopoietin 1 decreased, in diabetic knockout mice compared with diabetic wild-type mice. Glomerular expression of ZO-1, glycocalyx, and eNOS was also decreased in diabetic knockout compared with diabetic wild-type mice. These data suggest knockdown of Klf2 expression in the endothelial cells induced more endothelial cell injury. Interestingly, podocyte injury was also more prominent in diabetic knockout compared with diabetic wild-type mice, indicating a cross talk between these two cell types. Thus, KLF2 may play a role in glomerular endothelial cell injury in early diabetic nephropathy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Diabetes Mellitus, Experimental / genetics
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Experimental / pathology
  • Diabetic Nephropathies / etiology*
  • Diabetic Nephropathies / metabolism
  • Diabetic Nephropathies / pathology
  • Endothelium, Vascular / injuries
  • Endothelium, Vascular / metabolism
  • Endothelium, Vascular / pathology
  • Gene Expression Regulation
  • Gene Knockdown Techniques
  • Glucose / metabolism
  • Human Umbilical Vein Endothelial Cells
  • Humans
  • Insulin / metabolism
  • Kidney Glomerulus / metabolism
  • Kidney Glomerulus / pathology
  • Kruppel-Like Transcription Factors / antagonists & inhibitors
  • Kruppel-Like Transcription Factors / deficiency*
  • Kruppel-Like Transcription Factors / genetics
  • Mice
  • Mice, Knockout
  • Podocytes / metabolism
  • Podocytes / pathology
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Rats

Substances

  • Insulin
  • Klf2 protein, mouse
  • Klf2 protein, rat
  • Kruppel-Like Transcription Factors
  • RNA, Messenger
  • Glucose